Observation on the clinical effect of laparoscopic surgery in the treatment of ectopic pregnancy / 中国基层医药

ABSTRACT

Objective:To investigate the effect of laparoscopic surgery in the treatment of ectopic pregnancy and its influence on pregnancy and complications.Methods:From January 2014 to January 2018, 130 cases of ectopic pregnancy patients admitted to the Fourth People's Hospital of Tongxiang were selected.Among them, 93 cases with fertility requirements were selected as the study subjects.According to different surgical method, they were divided into observation group (46 cases) and control group (47 cases). The observation group was treated by laparoscopic surgery, while the control group was treated by open surgery.The operative indicators and complications were compared between the two groups.The pregnancy was followed up at 12 months after operation.Results:The bleeding volume in the observation group was (43.24±8.98)mL, which was less than that in the control group[(87.94±15.46)mL], the anal exhaust time[(14.96±3.24)h] and the time of getting out of bed activity[(10.13±2.41)h]in the observation group were shorter than that in the control group[(26.53±2.89)h and (18.65±2.76)h], the hospitalization time[(5.41±1.23)d] and the operation time[(65.89±13.21)min] in the observation group were shorter than that in the control group[(7.87±1.54)d and (81.32±14.25)min], the differences between the two groups were statistically significant( t=17.002, 18.183, 15.844, 8.501, 5.405, all P<0.05). The incidence of postoperative complications in the observation group (6.52%) was lower than that in the control group (25.53%) (χ 2=6.211, P<0.05). The intrauterine pregnancy rate in the observation group (78.26%) was higher than that in the control group (51.06%) (χ 2=7.482, P<0.05). Conclusion:Laparoscopic surgery is effective in the treatment of ectopic pregnancy.It can improve the rate of intrauterine pregnancy, reduce postoperative complications and shorten hospitalization time.